National Provider Identifier [NPI]: |
1265436760 |
Last Name Of The Provider |
FARIYIKE |
First Name Of The Provider |
BABATUNDE |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
208 CHEROKEE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
THOMASTON |
Zip Code Of The Provider |
302863402 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
47 |
Number Of Services |
5610 |
Number Of Medicare Beneficiaries |
592 |
Total Submitted Charge Amount |
528482 |
Total Medicare Allowed Amount |
386788.41 |
Total Medicare Payment Amount |
292257.76 |
Total Medicare Standardized Payment Amount |
307891.8 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
1669 |
Number Of Medicare Beneficiaries With Drug Services |
90 |
Total Drug Submitted ChargeAmount |
28834 |
Total Drug Medicare AllowedAmount |
20752.49 |
Total Drug Medicare PaymentAmount |
16385.43 |
Total Drug Medicare Standardized Payment Amount |
16385.43 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
43 |
Number Of Medical Services |
3941 |
Number Of Medicare Beneficiaries With Medical Services |
592 |
Total Medical Submitted Charge Amount |
499648 |
Total Medical Medicare Allowed Amount |
366035.92 |
Total Medical Medicare Payment Amount |
275872.33 |
Total Medical Medicare Standardized Payment Amount |
291506.37 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
169 |
Number Of Beneficiaries Age 65 to 74 |
211 |
Number Of Beneficiaries Age 75 to 84 |
141 |
Number Of Beneficiaries Age Greater 84 |
71 |
Number Of Female Beneficiaries |
318 |
Number Of Male Beneficiaries |
274 |
Number Of Non Hispanic White Beneficiaries |
334 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
333 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
259 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
61 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
3 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
2.296 |